MEDICARE: EMELYN ELENA RUIZ BCABA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst	0-14-6255	FL
2	103K00000X	Behavior Analyst	1-25-84490	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851684732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMELYN ELENA RUIZ BCABA

Provider Business Mailing Address
First Line	:	430 NW 23RD CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4422
Country	:	US
Telephone Number	:	305-333-0847
Fax Number	:

Provider Business Practice Location Address
First Line	:	10920 SW 184TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6608
Country	:	US
Telephone Number	:	305-378-5775
Fax Number	:	305-378-5772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2011
Last Update Date	:	09/29/2025

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Directions to “ EMELYN ELENA RUIZ BCABA” Practice Location

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